Evidence map›Paper›PMID 34133657›Full record

Trial reportClinics (Sao Paulo, Brazil)

Home-based training program in patients with chronic heart failure and reduced ejection fraction: a randomized pilot study.

Geisa Nascimento de Andrade, Iracema Ioco Kikuchi Umeda, Angela Rubia Cavalcanti Neves Fuchs, Luiz Eduardo Mastrocola, João Manoel Rossi-Neto, Dalmo Antonio Ribeiro Moreira, Patricia Alves de Oliveira, Carmen Diva Saldiva de André, Lawrence Patrick Cahalin, Naomi Kondo Nakagawa

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinics (Sao Paulo, Brazil). The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03615157 (Effects of a Home-based Exercise Program on Functional Capacity and Quality of Life in Heart Failure Patients), which is not on this map. Cited by 5 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03615157 naunknown statusnot on this map

Effects of a Home-based Exercise Program on Functional Capacity and Quality of Life in Heart Failure Patients

TypeinterventionalSponsorUniversity of Sao PauloRan2018 to 2019Enrolled30ConditionsChronic Heart FailureArmsExercise rehabilitation
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Home-based versus centre-based cardiac rehabilitation.The Cochrane database of systematic reviews · 2023
    Pooled it
  3. Pooled it
  4. Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Geisa Nascimento de AndradeDepartamento Fisioterapia, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, BR.ORCID http://orcid.org/0000-0002-6264-4448
Iracema Ioco Kikuchi UmedaInstituto Dante Pazzanese de Cardiologia, Sao Paulo, SP, BR.ORCID http://orcid.org/0000-0002-3575-1715
Angela Rubia Cavalcanti Neves FuchsInstituto Dante Pazzanese de Cardiologia, Sao Paulo, SP, BR.ORCID http://orcid.org/0000-0002-3659-1266
Luiz Eduardo MastrocolaInstituto Dante Pazzanese de Cardiologia, Sao Paulo, SP, BR.ORCID http://orcid.org/0000-0002-4632-4540
João Manoel Rossi-NetoInstituto Dante Pazzanese de Cardiologia, Sao Paulo, SP, BR.ORCID http://orcid.org/0000-0002-5959-9359
Dalmo Antonio Ribeiro MoreiraInstituto Dante Pazzanese de Cardiologia, Sao Paulo, SP, BR.ORCID http://orcid.org/0000-0003-3962-9992
Patricia Alves de OliveiraDivisao de Cardiologia, Instituto do Coracao (InCor), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.ORCID http://orcid.org/0000-0001-5788-1062
Carmen Diva Saldiva de AndréDepartamento de Estatistica, Instituto de Matematica e Estatistica, Universidade de Sao Paulo, Sao Paulo, SP, BR.ORCID http://orcid.org/0000-0002-0138-1445
Lawrence Patrick CahalinDepartment of Physical Therapy, University of Miami, Miller School of Medicine, Florida, USA.ORCID http://orcid.org/0000-0001-8447-1026
Naomi Kondo NakagawaDepartamento Fisioterapia, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, BR.ORCID http://orcid.org/0000-0001-7826-6798

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe aimed to compare the effects of home-and center-based exercise training programs on functional capacity, inspiratory muscle strength, daily physical activity level, and quality of life (QoL) in patients with chronic heart failure (CHF) over a 12-week period.

methodsThis study included 23 patients with CHF (left ventricular ejection fraction 31±6%) randomized to a home-based (n=11) or center-based (n=12) program. Patients underwent 12 weeks of aerobic training (60%-70% heart rate reserve): walking for the home-based and supervised cycling for the center-based group, both combined with resistance training (50% of 1 maximum repetition). At baseline and after 12 weeks of training, we assessed cardiopulmonary test variables, 6-min walk test distance (6 MWD), steps/day with accelerometry, and QoL (Minnesota Living with Heart Failure questionnaire). Maximal inspiratory pressure and handgrip strength were measured at baseline and after 4, 8, and 12 weeks of training. ClinicalTrials.gov: NCT03615157.

resultsThere were no adverse events during training in either group. The home- and center-based training groups obtained similar improvements in peak oxygen uptake, maximal ventilation, and 6 MWD. However, there were significant between-group differences: center-based training was more effective in improving maximal inspiratory pressure (p=0.042), number of steps/day (p=0.001), and QoL (p=0.039).

conclusionsHome-based training is safe and can be an alternative to improve the exercise capacity of patients with stable CHF. However, center-based training was superior in improving inspiratory muscle strength, QoL, and daily physical activity.

Indexed as

Heart FailureQuality of LifeExercise TherapyExercise ToleranceHand StrengthHumansPilot ProjectsStroke VolumeVentricular Function, Left

Identifiers

PMID34133657
PMCPMC8158670

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.